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Advocacy Timeline: Opposing Restrictive Medicaid Section 1115 Waivers

Since the Trump Administration took office, several states have asked the Centers for Medicare and Medicaid Services (CMS) for approval to waive Medicaid requirements or add new ones through requests known as Medicaid Section 1115 waivers. View our timeline below of the different stages that occur before these requests get to CMS.

The vast majority of these requested changes would cut Medicaid enrollment and make the program work less effectively for consumers. CMS is approving many of these requests, even though there are often questions about their legal authority to do so.

This factsheet and timeline (PDF version) will help you plan your opposition to harmful Medicaid Section 1115 Waivers.

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A waiver is a state request that the Secretary of Health and Human Services waive certain federal health care program requirements, usually in Medicaid (Section 1115 waivers) or the marketplaces (Section 1332).